Acta Medica Okayama volume75 issue1
2021-02 発行

Successful Bronchoscopic Treatment for Postoperative Bronchopleural Fistula Using N-butyl-2-cyanoacrylate (NBCA): Report of a Post-completion Pneumonectomy Case with a History of Induction Chemoradiotherapy Followed by Bilobectomy for Advanced Lung Cancer

Shiotania, Toshio Department of Organ Transplantation Center, Okayama University Hospital
Yamamoto, Hiromasa Department of Thoracic Surgery, Okayama University Hospital ORCID Kaken ID publons researchmap
Katsube, Riko Department of Thoracic Surgery, Okayama University Hospital
Tomioka, Yasuaki Department of Organ Transplantation Center, Okayama University Hospital
Suzawa, Ken Department of Thoracic Surgery, Okayama University Hospital ORCID Kaken ID researchmap
Miyoshi, Kentaroh Department of Thoracic Surgery, Okayama University Hospital Kaken ID
Otani, Shinji Department of Thoracic Surgery, Okayama University Hospital
Okazaki, Mikio Department of Thoracic Surgery, Okayama University Hospital
Sugimoto, Seiichiro Department of Organ Transplantation Center, Okayama University Hospital ORCID Kaken ID publons researchmap
Sohb, Junichi Department of Thoracic Surgery, Okayama University Hospital
Yamane, Masaomi Department of Thoracic Surgery, Okayama University Hospital Kaken ID researchmap
Toyooka, Shinichi Department of Thoracic Surgery, Okayama University Hospital ORCID Kaken ID publons researchmap
Publication Date
2021-02
Abstract
Bronchopleural fistula (BPF) is a severe complication following lung resection. We present the case of a patient with a history of advanced lung cancer, who had undergone induction chemoradiotherapy followed by right middle and lower lobectomy, and who developed BPF after completion right pneumonectomy. Although we had covered the bronchial stump with an omental pedicled flap, BPF was found on postoperative day 19. We covered the fistula with n-butyl-2-cyanoacrylate (NBCA) using bronchoscopy. Although we had to repeat the NBCA treatment, we ultimately cured the patient’s BPF and no recurrence was observed up to 15.2 months after surgery.
Document Type
Case Report
Keywords
bronchopleural fistula
pneumonectomy
induction chemoradiotherapy
n-butyl-2-cyanoacrylate (NBCA)
omental pedicled flap
Link to PubMed
ISSN
0386-300X
NCID
AA00508441
JaLC DOI
DOI:
75_1_91.pdf 4.31 MB